Attitudes and Perceptions Related to Smoking among Pregnant and Postpartum Women in a Low-Income, Multiethnic Setting

1998 ◽  
Vol 12 (4) ◽  
pp. 267-274 ◽  
Author(s):  
Caroline L. Dunn ◽  
Phyllis L. Pirie ◽  
Harry A. Lando

Purpose. The purpose of this study was to gain insight into attitudes and perceptions about smoking during pregnancy, passive smoke exposure, barriers to quitting, and program preferences among women in a low-income, ethnically diverse setting. Design. Nine focus group discussions were conducted with African-American, Native American, and white women. Discussions were moderated by local residents who shared the same ethnic background as group participants. Setting. Discussions were held in neighborhood centers and clinics in an urban area. Subjects. A total of 57 women participated. Moderators recruited participants from within their social networks and from neighborhood programs. The informal process of recruitment did not allow calculation of response rates. Measures. A series of open-ended questions with selected probes was used to guide the conversation. Results. Participants were aware that smoking during pregnancy is harmful and were concerned to varying degrees about their smoking behavior. Most women who smoked took active steps to reduce the risks. Actions were frequently accompanied by beliefs that rationalized moderate levels of smoking. While concerned, women were uncertain about what constituted harmful, passive smoke exposure. Personal barriers to quitting included being around others who smoked, feelings of stress and boredom, addiction, and not believing smoking is dangerous enough. Participants tended to value pregnancy-related advice from female friends and relatives over advice from professionals. Conclusions. Results suggest that many women respond to warnings about smoking during pregnancy, but actions are not necessarily measured, in quit rates. Misconceptions about the risks may help to rationalize continued smoking. Subjects lacked knowledge about how best to reduce the risks of passive smoke. Educational efforts may be effective when directed at networks of women who share information. The nature of qualitative data collection prevents extrapolation of these results to a larger population.

PEDIATRICS ◽  
2001 ◽  
Vol 108 (1) ◽  
pp. 18-24 ◽  
Author(s):  
K. M. Emmons ◽  
S. K. Hammond ◽  
J. L. Fava ◽  
W. F. Velicer ◽  
J. L. Evans ◽  
...  

1997 ◽  
Vol 78 (4) ◽  
pp. 419-423 ◽  
Author(s):  
Marilyn L Winkelstein ◽  
Anita Tarzian ◽  
Robert A Wood

2018 ◽  
Vol 33 (4) ◽  
pp. 558-565
Author(s):  
Laurel Curry ◽  
Carol L. Schmitt ◽  
Amy Henes ◽  
Christina Ortega-Peluso ◽  
Haven Battles

Purpose: To understand the tobacco acquisition practices of low-income smokers in New York State in light of high cigarette prices due to high cigarette taxes. Design: Eight focus groups with low-income smokers were conducted in spring 2015 and 2016 (n = 74). Setting: New York City (NYC) and Buffalo, New York. Participants: Low-income adults aged 18 to 65 who smoke cigarettes regularly. Method: Qualitative analysis of focus group transcripts that explored differences and similarities by region. We used the interview guide—which covered the process of acquiring cigarettes and the impact of cigarette prices—as a framework for analysis to generate themes and subthemes (deductive coding). We also generated themes and subthemes that emerged during focus group discussions (inductive coding). Results: Some smokers in Western New York have switched to untaxed cigarettes from Native American reservations, whereas low-income smokers in NYC described convenient sources of bootlegged cigarettes (packs or loosies) in their local neighborhood stores, through acquaintances, or on the street. Familiarity with the retailer was key to accessing bootlegged cigarettes from retailers. Conclusions: Smokers in this study could access cheaper cigarettes, which discouraged quit attempts and allowed them to continue smoking. The availability of lower priced cigarettes may attenuate public health efforts aimed at reducing smoking prevalence through price and tax increases.


2018 ◽  
Author(s):  
Jennifer Fillo ◽  
Kimberly E. Kamper-DeMarco ◽  
Whitney C. Brown ◽  
Paul R. Stasiewicz ◽  
Clara M. Bradizza

Approximately 15% of US women currently smoke during pregnancy. An important step toward providing effective smoking cessation interventions during pregnancy is to identify individuals who are more likely to encounter difficulty quitting. Pregnant smokers frequently report smoking in response to intrapersonal factors (e.g., negative emotions), but successful cessation attempts can also be influenced by interpersonal factors (i.e., influence from close others). This study examined the association between emotion regulation difficulties, positive and negative social control (e.g., encouragement, criticism), and smoking cessation-related variables (i.e., smoking quantity, withdrawal symptoms) among pregnant smokers. Data were drawn from the pretreatment wave of a smoking cessation trial enrolling low-income pregnant women who self-reported smoking in response to negative affect (N = 73). Greater emotion regulation difficulties were related to greater smoking urges (b = 0.295, p = .042) and withdrawal symptoms (b = 0.085, p = .003). Additionally, more negative social control from close others was related to fewer smoking days (b = -0.614, p = .042) and higher smoking abstinence self-efficacy (b = 0.017, p = .002). More positive social control from close others interacted with negative affect smoking (b = -0.052, p = .043); the association between negative affect smoking and nicotine dependence (b = 0.812, p < .001) only occurred at low levels of positive social control. Findings suggest that emotion regulation difficulties may contribute to smoking during pregnancy by exacerbating women's negative experiences related to smoking cessation attempts. Negative social control was related to lower smoking frequency and greater confidence in quitting smoking, suggesting that it may assist pregnant smokers' cessation efforts. Positive social control buffered women from the effects of negative affect smoking on nicotine dependence.


2021 ◽  
Author(s):  
Amanda Trofholz ◽  
Allan Tate ◽  
Mark Janowiec ◽  
Angela Fertig ◽  
Katie Loth ◽  
...  

BACKGROUND Ecological momentary assessment (EMA) is an innovative tool to capture in-the-moment health behaviors as people go about their regular lives. EMA is an ideal tool to measure weight-related behaviors, such as parent feeding practices, stress, and dietary intake, as these occur on a daily basis and vary across time and context. A recent systematic review recommended standardized reporting of EMA design for studies that address weight-related behaviors. OBJECTIVE This manuscript describes in detail the EMA design of the Family Matters study. METHODS Family Matters is an incremental, two-phased, mixed-methods study conducted with a racially/ethnically diverse and immigrant/refugee sample from largely low-income households designed to examine the risk and protective factors for childhood obesity in the home environment. The Family Matters study intentionally recruited White, Black, Hmong, Latino, Native American, and Somali parents with young children. Parents in Phase I of the study completed eight days of EMA on their smart phones, which included 1) signal-contingent surveys (e.g., asking about the parent’s stress at the time of the survey); 2) event-contingent surveys (e.g., descriptions of the meal the child ate); 3) end-of-day surveys (e.g., overall assessment of the child’s day).cribes in detail the EMA design of the Family Matters study. RESULTS A detailed description of EMA strategies, protocols, and methods used in Phase I of the Family Matters study is provided. Compliance with EMA surveys and participant time spent completing EMA surveys is presented, stratified by race/ethnicity. Additionally, lessons learned while conducting Phase I EMA are shared to document how EMA methods were improved and expanded upon for Phase II. CONCLUSIONS Results from this study provide an important next step in identifying best practices for EMA use in assessing weight-related behaviors in the home environment.


2021 ◽  
Vol 19 (1) ◽  
pp. 7-36
Author(s):  
Laura Guarino ◽  
Stefano Portelli

Abstract Resettlement programs have always been in the political agenda of public institutions and administrators of Casablanca since its growth during the French Protectorate. Today real estate and private multinational capital sneak into local and national powers, pushing public authorities to clear land for new urban development through demolition and resettlement of local residents. The dwellers of areas such as the old town centre (medina) and the slums (karyan) increasingly react to displacement by challenging this urban agenda frontally with their bodies and words, but often also deploying what James Scott calls “weapons of the weak”, i.e. implicit acts of resistance and symbolic dissent. Reversing Asef Bayat’s statement, we consider residents of these stigmatized neighbourhoods “revolutionaries without a revolution”, partisans of an intimate cause of their own, that aims at having a home and surviving in a hostile city. Our reflections are the product of two separate fieldwork researches: one with the inhabitants of informal neighbourhoods, another with residents and former residents of the old medina. The two cases show how resettlement affects the sense of belonging and of cohesion of low-income classes by uprooting the founding element of the everyday life: the house. The uncertainty about the possibility to keep their own home deeply conditions the implicit social pact with the monarchy apparatus, and may represent one of the conditions that are undermining the allegiance to the monarchy itself.


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